Chapter 505
Chapter 505
Disgusting?
Want to throw up?
This is most likely due to a problem with the digestive tract.
"Hang him saline and glucose rehydration..."
Then blood is drawn.
Basic blood routine, urine routine, liver function, kidney function, electrolytes and other routine items, do it again.
In addition, there are B-ultrasound, CT...
And the patient Huang Zheng will not stop it, because he does not have to pay.
And Chen Zheng will not stop it, because he is really afraid of losing his life.
At this time, the leaders of the school also came.
I originally wanted to find Lin Feng to understand the condition, but Lin Feng was too busy, and he could only ask Lin Feng's student Xiaoru to understand the condition.
All the way to the CT room.
Patients, students, school doctors, and school leaders are all worried.
CT is something that can be seen live.
One sweep yielded results.
Lin Feng watched the operation of the CT teacher on the side.
Liver: No problem...
Spleen: No problem...
Heart: No problem...
No imaginary ruptures, no bleeding.
Now, half relieved.
Leave the CT room and prepare to return to the emergency department.
on the road
The patient, Huang Zheng, suddenly puffed out his mouth, as if he was uncomfortable.
"What's wrong?"
"Uh-huh..."
Patient Huang Zheng wanted to speak, but as a result...
"Gagging~~~~"
A mouthful of blood,
Spit it out!
The sheets, which suddenly turned bright red...
Lin Feng: ".................."
Xiaoru, nurse: ".................."
The surrounding patients and family members were immediately frightened and scattered, and then they all looked over.
Lin Feng's brows furrowed, looking at the pool of blood on the bed...
At least 200ml!
"Are you coughing up blood, or are you vomiting blood?"
Lin Feng asked seriously.
After all, Huang Zheng is a high-achieving student of a prestigious university, so he naturally distinguishes between these two words.
"It's vomiting blood..."
"Hematemesis, that is, a problem of the digestive tract!"
Lin Feng decided.
And bright red blood, it should be the upper digestive tract, it cannot be the small intestine, colon, rectum, etc. ...
"Have you ever had chronic diseases such as stomach ulcers and duodenal ulcers?"
"No..."
Lin Feng's brows stretched.
Eliminate the impossible.
Then the rest of the answer is:
Mechanical trauma of the stomach and duodenum!
The reasoning is as follows:
The patient was beaten (there is a bruise at the xiphoid position) - > hurt the patient's stomach and duodenum - > hemorrhage + pain - > vomiting blood...
"Xiphoid process": Below the junction of the ribs on the left and right sides, a bone similar to the tip of a sword.
Where it is located, there is a stomach, a cardia ...
Therefore, the probability should be that the stomach is injured.
Of course, the possibility of gastric ulcer and stomach cancer cannot be ruled out.
But it must have something to do with the stomach.
Push the gastroscopy chamber directly.
Do a gastroscopy.
However, before that, try to stop the bleeding.
The conservative approach is medication.
Frozen saline
2 sticks of norepinephrine
Take it directly and let it reach the stomach directly.
Norepinephrine is a commonly used rescue drug that can raise blood pressure and has been often used in Lin Feng's previous surgeries.
And its principle is to constrict peripheral blood vessels.
Gastric bleeding, that nails constricts blood vessels, is certainly useful.
In addition, freezing salt water can also constrict blood vessels.
It is also a common method of stopping bleeding in emergency rooms.
All the way to the gastroscope...
The patient Huang Zheng has not vomited blood anymore, and I don't know if it has an effect on stopping the bleeding.
......
Hit sedative anesthesia...
Then deep into the gastroscope ...
Before reaching the stomach, just out of the esophagus, when I came to the cardia position...
A bleeding hole was found!
Cardia!
Cracked!
There is still blood slowly flowing out.
Not stomach bleeding, not stomach cancer, stomach ulcer, but cardia bleeding!
However, the mouth is not big.
"Give him a vasoconstrictor drug..."
And at this time,
Results such as blood routine are also out.
Hemoglobin: low, only normal minimum value.
Corresponds to cardia bleeding.
What happened should be:
The cardia (xiphoid process) received a punch, then cracked - > then bleeding - > abdominal pain, vomiting
"Congratulations, it's just that the cardia mucosa is torn and bleeding..."
"Doctor Lin, do you need surgery?"
"No surgery is required, and over time, these torn mucous membranes will gradually heal..."
Everyone at the school was overjoyed.
"Thank you Dr. Lin, thank you Dr. Lin!"
Happy to go back to school...
Chen Zheng, who hurt people, was also relieved, if he really beat his classmates into the operating room, it would be really confused, and the school and parents would not let him go.
However, if his girlfriend is 'smashed' the next time, he will still beat.
It's just that the start will be a little lighter.
......
The next patient.
"Doctor Lin..."
A young patient came in.
Liu Duoduo, 28 years old.
Looks very healthy, but looks tired.
"What's wrong?"
Liu Duoduo sat down and began to talk about his experience.
"I don't know why these days, I was pressed by a ghost..."
"Ghost press? Is it the kind of body that can't move after getting up? "
"Yes."
"Oh, that little thing..."
Lin Feng said with a smile.
"Huh?"
Patient Liu Duoduo was shocked.
Ghost presses the bed!
It's terrifying.
When I woke up, I found that my whole body could not move, although I could see the surrounding images and hear the surrounding sounds, but I couldn't make a sound, and sometimes it was accompanied by hallucinations...
It's scary!
Feel like you're in a vegetative state!
The feeling of fear and suffocation that couldn't move made his heart palpitate when he thought about it.
Lin Feng smiled.
"Ghost presses the bed, it's not as scary as you think."
Whether East or West, almost every culture over the past few centuries has had stories of evil creatures terrorizing humanity.
Many people have had the experience of the so-called "ghost pressing bed".
Many people will feel afraid, and intuitively think that it is caused by some unknown object suppression, so there is a saying of "ghost pressing bed".
But!
"Ghost pressing bed" means "the brain is awake but not awake".
Medically known as "sleep paralysis"!
It refers to the terrifying experience in which the person has woken up, but the body and part of the brain are still asleep, do not listen to the command of consciousness, and hallucinations occur because of the panic feeling at the time of the attack.
It can occur just after falling asleep or not waking up, or it can occur at night or in the morning.
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ps: the update is over... Yesterday on the heavenly list, thank you guys for rewarding the meal... Insist on quality and not looking for gunners, this is my insistence.
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